MR. KEVIN AMBURGO GONZALES PT
NPI 1508685819
Physical Therapist in Freeport, NY
About Mr. Kevin Amburgo Gonzales Pt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. KEVIN AMBURGO GONZALES PT (NPI 1508685819) is an individual physical therapist in Freeport, New York, licensed in New York (052698) and active in the NPI registry since October 2024. He is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Kevin Amburgo Gonzales Pt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kevin Gonzales reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Mineola, NY 11501
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Dynamic Physical Therapy Rehab Of Ny PC
- 19 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kevin Gonzales's NPI number?
The NPI number for Kevin Gonzales is 1508685819. It was assigned to this individual provider in the NPPES registry on October 4, 2024.
Where is Kevin Gonzales located?
Kevin Gonzales practices at 73 Guy Lombardo Avenue Imsk & Spine Group, Freeport, NY 11520. The listed phone number is (516) 888-3625.
What is Kevin Gonzales's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Kevin Gonzales enrolled in Medicare?
Yes. Kevin Gonzales is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kevin Gonzales's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Gonzales reassigns Medicare benefits to Dynamic Physical Therapy Rehab Of Ny P.C. (Mineola, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kevin Gonzales's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kevin Gonzales was last updated on March 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.